Active NPI
John Kaufmann, M.D.
- Family Medicine Physician
- Boca Raton, FL
National Provider Identifier
1548293418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME38874
- Practice address
- 22049 Palm Grass Dr
Boca Raton, FL 33428-4792 - Phone
- (561) 908-3579
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME38874 | FL | Primary |
Addresses
Primary practice location
22049 Palm Grass Dr
Boca Raton, FL 33428-4792
Mailing address
22049 Palm Grass Dr
Boca Raton, FL 33428-4792
Phone (561) 908-3579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62329 | Other | FL | FLORIDA BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME38874 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1548293418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22049 PALM GRASS DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284792",
"telephone_number": "561-908-3579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22049 PALM GRASS DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284792",
"telephone_number": "561-908-3579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMANN",
"first_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME38874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "62329",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.